Permit CITY OF TIGARD ELECTRICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: ELC2010 -00248
Date Issued: 05/20/2010
1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171
TIGARD' Parcel: 2S104CD08800
Jurisdiction: Tigard
Site address: 13567 SW MINT PL
Subdivision: HILLSHIRE ESTATES NO. 2 Lot: 87
Project: Olsen
Project Description: (2) branch circuits for A/C and service outlet.
Owner: FEES
OLSEN, GORDON A & RHONDA Quantity Description Date Amount
13567 SW MINT PL 2 crt Branch Circuits 05/20/2010 $63.60
TIGARD, OR 97223 wo /Purchase Service or
PHONE: 503 - 330 -6258 Feeder
1 ea 12% State Surcharge - 05/20/2010 $7.63
Electrical
Contractor:
BEAR ELECTRIC
PO BOX 389
DONALD, OR 97020
PHONE: 503 - 678 -1355
FAX: 503 - 678 -1108
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $71.23
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: -- Permittee Signature: /% Al ' ✓� / ( 77 (IA)
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 603.639.4176 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
MAY-19-2010(WED) 14:27 Bear Electric ( (FRX)5036781108 P. 001 /002
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1 a Phone: 503.639.4171 i 'L: 503.598.1960 4 O l ermiV7rC /0 —80A_; ,
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